Active NPI
Terry Michael Pleskonko, DC
- Chiropractor
- Staunton, VA
National Provider Identifier
1639104821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000537
- Practice address
- 2303 N Augusta St
Ste B
Staunton, VA 24401 - Phone
- (540) 886-0745
- Fax
- (540) 887-8383
- NPI assigned
- Jul 12, 2006
- Last updated
- Sep 7, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104000537 | VA | Primary |
Addresses
Primary practice location
2303 N Augusta St
Ste B
Staunton, VA 24401
Mailing address
2303 N Augusta St Ste B
Staunton, VA 24401-2597
Phone (540) 886-0745
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A546090770001 | Other | CIGNA | |
| 029026 | Other | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104000537 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Staunton Chiropractic Center | Chiropractor | Current | Accepting new patients |
Locations
2013 N Augusta St
#B
Staunton, VA 24401
Phone (540) 886-0745
2303 N Augusta St
Ste B
Staunton, VA 24401
Phone (540) 779-7524
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Staunton, VA
- NPI 1003840216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536278400000",
"number": "1639104821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2303 N AUGUSTA ST STE B",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244012597",
"telephone_number": "540-886-0745",
"fax_number": "540-887-8383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2303 N AUGUSTA ST",
"address_2": "STE B",
"city": "STAUNTON",
"state": "VA",
"postal_code": "24401",
"telephone_number": "540-886-0745",
"fax_number": "540-887-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLESKONKO",
"first_name": "TERRY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2018-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000537",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "A546090770001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "029026",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staunton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.